| NPI | 1437309945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO MALDONADO Dentist 630-965-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019.026594) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |